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At a glance

Moxifloxacin IV is a 4th generation fluoroquinolone antibiotic administered intravenously. It is used for bacterial infections and works by inhibiting bacterial DNA replication.

Indications
  • Acute bacterial sinusitis
  • Acute bacterial exacerbation of chronic bronchitis
  • Community acquired pneumonia
  • Complicated and uncomplicated skin and skin structure infections
  • Intra-abdominal infections
Pharmacology

Moxifloxacin inhibits topoisomerase II (DNA gyrase) and topoisomerase IV to prevent bacterial DNA replication, transcription and repair, resulting in bacterial cell death.

Dosage

Adult Dose (IV):

  • Acute bacterial sinusitis: 400 mg IV infusion over 60 min, 10 days
  • Acute exacerbation of chronic bronchitis: 400 mg IV infusion over 60 min, 5 days
  • Community acquired pneumonia: 400 mg IV infusion over 60 min, 7-14 days
  • Complicated skin infections: 400 mg once daily, 7-21 days
  • Uncomplicated skin infections: 400 mg once daily, 7 days
  • Intra-abdominal infections: 400 mg once daily, 5-14 days

Elderly: No dose adjustment required.

Side effects

Common Side Effects:

  • Headache
  • Dizziness
  • Nausea
  • Diarrhea
  • Injection site reactions (pain, swelling, redness)
Use in pregnancy

Use in Pregnancy: Moxifloxacin IV may be unsafe during pregnancy (Category C); animal studies show evidence of fetal harm.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Risk of QT prolongation
  • Discontinue if tendinitis or tendon pain occurs
  • Caution in myasthenia gravis
  • Caution when driving (may cause dizziness)
  • Inform doctor if diarrhea with blood occurs
  • Safety not established in patients <18 years
Overdose effects

Overdose: Nausea, vomiting, diarrhea, dizziness; symptomatic treatment.

Storage conditions

Store in a dry place, away from light; keep out of reach of children.

Moxifloxacin IV — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.